DR. KEVIN JAMES MACCONNACHIE – Emergency Medicine Physician, NPI 1174044598

DR. KEVIN JAMES MACCONNACHIE is a healthcare provider. based in Garden city, Michigan. specializing in EMERGENCY MEDICINE. They hold a License No. 5101023603 (MI). The NPI Number for DR. KEVIN JAMES MACCONNACHIE is 1174044598

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN JAMES MACCONNACHIE
NPI
1174044598
Phone
Not provided
Address
6245 INKSTER RD
Enumeration Date
6 July 2017
Last Update Date
6 July 2017

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2707931000
Graduation Year
2017 (9 years ago)
PAC ID
9133479538
Group Practice PAC ID
9335505569
Professional Enrollment ID
I20210830000692
Address ID
KY421043362BO1801XCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. KEVIN JAMES MACCONNACHIE

  • Inkster Road, Garden City, Wayne County, Michigan, 48134, United States

    GARDEN CITY, MI 481354001

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190709002154IEmergency MedicineMITBD
I20210830000692IEmergency MedicineKYTBD
I20220701001342IEmergency MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making276265$0
99284Emergency department visit with moderate level of medical decision making241232$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9793$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only6159$0
99283Emergency department visit with low level of medical decision making4945$0
View full utilization report →

Insurance plans in this area (ZIP 48135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335505569View full group profile
NameSpecialtyState
Nurse PractitionerKY
Emergency MedicineIL
Emergency MedicineMI
Emergency MedicineFL
Emergency MedicineMI
Family Practice, Emergency MedicineKY
Emergency Medicine, Family PracticeTN
Internal Medicine, Emergency MedicineKY
Nurse PractitionerKY
Emergency MedicineKY

Reviews

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Frequently asked questions

Is there an official ID for DR. KEVIN JAMES MACCONNACHIE in U.S. healthcare records?
The official identifier for DR. KEVIN JAMES MACCONNACHIE is NPI 1174044598.
Active or inactive — what applies to DR. KEVIN JAMES MACCONNACHIE?
You should see DR. KEVIN JAMES MACCONNACHIE as active in CMS-hosted NPPES data.
What expertise is attributed to DR. KEVIN JAMES MACCONNACHIE?
DR. KEVIN JAMES MACCONNACHIE's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KEVIN JAMES MACCONNACHIE associated with Garden City?
Public fields place DR. KEVIN JAMES MACCONNACHIE around Garden City, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KEVIN JAMES MACCONNACHIE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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